23D2079087 CLIA NUMBER - GRANDHAVEN LIVING CENTER

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Laboratory Demographics

CLIA Number: 23D2079087

Facility Name: GRANDHAVEN LIVING CENTER

Facility Address:
3145 W MT HOPE AVE
LANSING, MI
ZIP 48911
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Facility Phone Number: 517 485-5966

Facility Type: Assisted Living Facility

Certificate Type: Waiver

NPI Number: 1881921575

Taxonomy: 310400000X - Assisted Living Facility
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

CLIA Record

Field Name	Field Value
CLIA Number	23D2079087
LAB Type	Assisted Living Facility
Facility Name	GRANDHAVEN LIVING CENTER
Street	3145 W MT HOPE AVE
City	LANSING
State	MI
ZIP	48911
Phone	517 485-5966
CertificateType	4
CertificateEffectiveDate	6/10/2022
CertificateExpirationDate	6/9/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024